Mandie De Vincentis, RN, MSN, ANP-BC

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

2013041187 Issued in MO

Practice address

15379 Red Willow CT
Chesterfield, MO 63017-5426

Phone

(646) 354-9308

NPI assigned

May 8, 2014

Last updated

Jan 17, 2020By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science - Nursing, Registered Nurse

Interoperability endpoints

• Direct secure messaging: mdevincentis@truhealthinc.kareodirect.com

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1399507200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579219200000",
    "number": "1396156659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15379 RED WILLOW CT",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "630175426",
            "telephone_number": "646-354-9308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15379 RED WILLOW CT",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "630175426",
            "telephone_number": "646-354-9308"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DE VINCENTIS",
        "first_name": "MANDIE",
        "credential": "RN, MSN, ANP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-05-08",
        "last_updated": "2020-01-17",
        "certification_date": "2020-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "MO",
            "license": "2013041187",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dawn Bergman LPC, LLC
• Nishea Day
• Pablo Daniel Dayer, MD
• Dana Daylor, OTR
• DBT Health, LLC
• Kelli E Dean Riegel, PA-C
• John Nicholas Deangelis, D.C.
• Katherine Deckelbaum, RPH
• Gregory M Decker, MD
• Ruth A Decker, MD

• Adult Health Nurse Practitioner in Chesterfield, MO
• Providers in Chesterfield, MO by specialty
• Adult Health Nurse Practitioner in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.